重症急性呼吸窘迫综合征患者应用体外膜肺氧合治疗的护理

Nursing Care of Patients with Severe Acute Respiratory Distress Syndrome Treated with Extracorporeal Membrane Oxygenation

目的分析重症急性呼吸窘迫综合征患者应用体外膜肺氧合治疗的护理措施。方法研究选取了56例重症急性呼吸窘迫综合征患者作为观察对象,所有患者均在接受体外膜肺氧合治疗。患者入院时间为2017年8月至2019年1月,采用数字随机法将患者分成试验组和普通组。给予普通组常规的护理措施,试验组采取针对性护理,对比两组患者干预后的呼吸情况、肺损伤和器官功能障碍、护理满意度。结果试验组患者SaO2为(87.00±4.80)mm Hg,PEF为(4.30±1.10)cm H_(2)O,PaO_(2)/FiO_(2)为(327.00±18.00)mm Hg,各项数据均优于普通组,数据差异有统计学意义(P<0.05,t=13.35、11.09、11.28)。试验组患者Mrrray评分为(1.30±0.26)分,Marshll评分为(2.50±0.17)分,各项数据低于普通组(P<0.05,t=4.16、2.71)。试验组患者护理满意度为96.43%(27例),普通组为71.43%(20例),数据差异有统计学意义(P<0.05,χ^(2)=6.48)。结论重症急性呼吸窘迫综合征患者应用体外膜肺氧合治疗联合针对性护理干预措施能够促进患者呼吸功能的恢复,并减少肾损伤和器官功能损伤风险,患者护理满意度也可得到提升,值得推广。

Objective To analyze the nursing measures of extracorporeal membrane oxygenation in patients with severe acute respiratory distress syndrome.Methods A total of 56 patients with severe acute respiratory distress syndrome were enrolled.All patients underwent extracorporeal membrane oxygenation.Patients were admitted from August 2017 to January 2019.Patients were randomized by digital randomization.Divided into experimental group and general group,the general group gave routine nursing measures,the experimental group took targeted care,compared the breathing situation,lung injury and organ dysfunction,and nursing satisfaction of the two groups after intervention.Results The SaO_(2) of the experimental group was(87.00±4.80)mm Hg,the PEF was(4.30±1.10)cm H_(2)O,and the PaO_(2)/FiO_(2) was(327.00±18.00)mm Hg.The data were superior to the general group,and the data were statistically significant(P<0.05,t=13.35,11.09,11.28).The Mrrray score of the experimental group was(1.3±0.26),the Marshll score was(2.50±0.17),and the data were lower than the normal group(P<0.05,t=4.16,2.71).The nursing satisfaction of the experimental group was 96.43%(27 cases),the general group was 71.43%(20 cases),the data difference was statistically significant(P<0.05,χ^(2)=6.48).Conclusion The combination of extracorporeal membrane oxygenation therapy and targeted care intervention can promote the recovery of respiratory function and reduce the risk of renal injury and organ function damage.The satisfaction of patients'nursing can also be improved,which is worth popularizing.